Select State:Please indicate the State in which you would like to register your DBA / Assumed
or fictious name.Important: If you have an existing CORPORATION/LLC and wish to file DBA in a state
other than your home state, First "FOREIGN QUALIFY" the CORPORATION/LLC in order to file the DBA. Pelase
contact our officetoll-free at 1-866-754-4460 for further assistance.

State of
requires that you publish a public notice for your
DBA formation. This announcement should be published in a local newspaper. If you would like
to have us handle this requirement for you, select Yes.

Note: The infotax fee for Publication does not include the newspaper fees.

An Employer Identification Number (EIN) is a nine-digit number that is assigned by the
IRS and used to identify taxpayers that are required to file various business tax
returns. It may also be referred to as a Tax Identification Number or TIN.
EINs are used by employers, sole proprietors with employees, corporations,
partnerships, LLCs, nonprofit associations, trusts, and other business entities.
You need to obtain an EIN if you incorporate your business or form an LLC.

If you are selling products or offering services that is taxable you must apply
for sales tax id number in your state. The process of getting a Sales Tax ID
is called obtaining a ?Certificate of Authority?, "Sales tax ID Number".

Please indicate the Assumed Name you want to Register. If you are either filing a
DBA/Fictious Name for a sole proprietership, corporation or limited liability company,
please do not include any corporate indicators such as "Inc." or "LLC" in the DBA/Fictious
Name, as the fictious name cannot include such indicators.

2.

Physical address of the entity (No P.O. Box).

3.

Additional Counties you want to register your DBA, the county should be within that state.

NOTE:The Standard State / County fees is being charged with this application. However, additional filing fees may be charged according to your state / county, the fees will be paid to your state / county not to Infotax Square. If applocable, Infotax Square representative will call you to disscuss additional fees.

1. Enter the assumed name that you would like to register today*:

Assumed Name*:

Alternative Name 1*:

Alternative Name 2*:

2. Enter the address at which you plan to operate under this assumed name (NOTE: Must provide a PHYSICAL address (ie. no PO Boxes). Address must also be INSIDE THE COUNTY you seek to file with).

Copy from Contact Information if same

Address*:

City*:

State*:

Zip*:

OWNERS' INFORMATION

OWNER 1

Copy from Contact Information if same

Full Name*:

Social Security Number*:

(999-99-9999)

Date of Birth:

(mm/dd/yyyy)
For State of UT only

Residence Address*:

City*:

State*:

Zip*:

(99999) OR (99999-9999)

OWNER 2

Full Name:

Social Security Number:

(999-99-9999)

Date of Birth:

(mm/dd/yyyy)

Residence Address:

City:

State:

Zip:

(99999) OR (99999-9999)

OWNER 3

Full Name:

Social Security Number:

(999-99-9999)

Date of Birth:

(mm/dd/yyyy)
For State of UT only

Residence Address:

City:

State:

Zip:

(99999) OR (99999-9999)

OWNER 4

Full Name:

Social Security Number:

(999-99-9999)

Date of Birth:

(mm/dd/yyyy)
For State of UT only

Residence Address:

City:

State:

Zip:

(99999) OR (99999-9999)

PAYMENT INFORMATION

Same as Contact Information

First Name*:

Last Name*:

Billing Address*:

City*:

State*:

Zip*:

(99999) OR (99999-9999)

Phone*:

Fax:

Card Type*:

Expiration Date*:

Card Number*:

Card Security Code*:

Please use the security code as follow:
1. Master Card- Please insert 3 digits security code from the back of the card
2. Visa Card- Please insert 3 digits security code from the back of the card
3. Discover Card- Please insert 3 digits security code from the back of the card
4. American Express- Please insert 4 digits security code from the front of American Express
For any help we can be contacted at +1 (866)754 4460